长护险老龄受益者受益评价指标体系构建研究  

Study on the construction of evaluation indicator system for elderly beneficiaries of long-term care insurance

作　　者：杨一凡 蔡解语 王子怡 刘保华 王佳慧 YANG Yifan;CAI Jieyu;WANG Ziyi;LIU Baohua;WANG Jiahui(School of Politics and Public Administration,Soochow University,Suzhou Jiangsu 215123,China;School of Health Services and Wellness,Ningbo College of Health Sciences,Ningbo Zhejiang 315100,China)

机构地区：[1]苏州大学政治与公共管理学院,江苏苏州215123 [2]宁波卫生职业技术学院健康服务与康养学院,浙江宁波315100

出　　处：《卫生软科学》2024年第5期77-81,共5页Soft Science of Health

基　　金：浙江省哲社年度规划课题重点项目-深度老龄化视域下长期照护人才队伍脆弱性形成机理与治理策略研究——以浙江省为例(22NDJC041);苏州大学“大学生创新创业训练计划”资助项目(202310285012Z)。

摘　　要：为提供全面评价长护险老龄受益者实际受益程度适用的测度工具,通过文献分析法、专家咨询法、层次分析法等方法,建立长护险老龄受益者受益评价指标体系。最终形成包含经济受益、服务受益、生理受益、精神心理受益、公平受益、权益保障6个一级指标、16个二级指标、46个三级指标的长护险老龄受益人群受益评价指标体系。2轮专家咨询中专家权威系数均值为0.854,变异系数(CV)由0.3842降至0.2259,肯德尔协调系数(Kendall’s W)均具有统计学意义,咨询结果较为可靠。其中权重结果显示,一级指标的经济受益与服务受益,二级指标的减少经济支出、增加经济收入及日常生活状况,三级指标的减轻购买专业护理费用负担程度、减轻生活照料费用负担程度、减轻家庭照顾者误工费的程度的权重占比较高,所有权重均通过一致性检验。优化后的评价指标体系具有合理性,可为长护险老龄受益者受益效果的评价提供参考。In order to provide an applicable measurement tool to comprehensively measure the actual benefit of the elderly beneficiaries in long-term care insurance,the study establishes the evaluation indicator system for the elderly beneficiaries of long-term care insurance through literature analysis,expert consultation,Analytic Hierarchy Process and other methods.Finally,an evaluation indicator system for the elderly beneficiaries of long term care insurance has been formed,including six first-level indicators,16 second-level indicators and 46 third-level indicators for economic benefit,service benefit,physiological benefit,mental and psychological benefit,equity benefit,and rights protection.In the two rounds of expert consultation,the mean value of expert authority coefficient is 0.854;the coefficient of variation(CV)decreases from 0.3842 to 0.2259,and Kendall's coefficient of concordance(Kendall's W)is statistically significant,indicating that the consultation results are relatively reliable.Among the them,the results of weight show that the economic benefit and service benefit in the first-level indicators,the reduction of economic expenditure,the increase of economic income,and the living conditions in the second-level indicators,the reduction of costs of purchasing professional nursing services,the reduction of living care costs,and the reduction of the charge for loss of working time of family caregivers in the third-level indicators account for a high proportion of weights,and all the weights pass the consistency test.The optimized evaluation indicator system is reasonable and can provide the reference for the evaluation of the benefit effect of the elderly beneficiaries in long-term care insurance.

关 键 词：长护险 老龄人群 受益 评价 指标体系 

分 类 号：R197.1[医药卫生—卫生事业管理]